Individual
CARMEN I HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
380 HENRY ST, BROOKLYN, NY 11201-6048
(718) 855-6789
Mailing address
295 OSBORN ST APT 6E, BROOKLYN, NY 11212-6251
(917) 705-3539
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010361
NY
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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